Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5008743 | NC |
NPI | 1003269606 |
---|---|
Provider Name | Lori Lovett Robinson |
First Address | Charlotte, NC 28219-9305 |
Second Address | Concord, NC 28025-2414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2016 |
Last Update Date | 21/01/2021 |